Authors: Dr Pramod kumar Singh1 Dr Dushyant Kumar 2 Dr Abhishek 3Dr Poonam Sharma4
Abstract-
Warts are benign, small circumscribed hard or papular elevation or growth of the skin and mucosa appearing on skin and mucosa appearing on skin in various forms depending upon the site, morphological structures .Warts or verruca vulgaris is a viral infection caused by Human Papiloma Virus (HPV). In such cases homoeopathic medicines are always benificial when given after individualization of the patient and prescribed medicine must be similimum in order to cure the patient. Some important rubrics related to special feature of warts are given in repertory which will be very beneficial for sudden prescription and suitable result.
KEYWORDS
Verruca vulgaris, Homoeopathy, Repertory
INTRODUCTION
Warts are the growth of the skin resulting from Human Papiloma Virus (HPV). Warts may be single/multiple/smooth/cauliflower like and are generally treated by applying medicine externally or surgical excision procedure. It appears in various forms on different sites of the body and include common warts , plane or flat warts, myrmecia, plantar warts, coalesced mosaic warts, filiform warts, periungual warts, anogenital warts (venereal or condyloma acuminata), oral warts and respiratory papilloma1
HPV is a double-stranded DNA virus that causes cutaneous viral warts, most commonly located on the skin and genitalia. .There are more than 100 different HPV types.The most common warts on the hands and feet are caused by HPV types 1, 2, 4, 27 and 57.Most types of HPV cause non-genital warts. Some HPV types cause an increased risk of cervical cancer.1
TYPES2
| Types | Characterstics |
| 1.Verruca Vulagaris (Common Warts) | These are the skin growths that range from the size of pinhead to the size of a pea. They harden making them rough and scaly to the touch. These are often found on the back of hands , fingers ,skin around the nails and feet |
| 2.Plane or flat warts | These are small , slightly raised warts that are often just just few millimeters wide. They are most commonly found on the face particularly on the forehead and cheeks ,hands and lower arms are often affected |
| 3.Intermediate warts | These show features of both common warts and flat warts. |
| 4.Myrmecia | These are large, deep, burrowing warts often associated with HPV -1 virus. Myremecia warts that occurs on the plantar surface usually found on weight bearing areas such as metatarsal head and heel. |
| 5.Plantar warts | They most commonly occur on the ankles and the soles of the feet .They can become become quite large . This can cause pain or tenderness due to pressure . |
| 6.Mosaic warts: | These are white and about the size of pinhead. Most commonly found on feet and under the toes but may also found on the entire sole of the feet |
| 7.Filiform warts | These have thread like spiky appearance and often appear on the face and it looks like tiny brushes on the face |
Rubrics related to warts in different repertories3
Boericke Repertory3
VERUCCA (warts)
Character
Bleed easily — Cinnab.
Jagged, large — Caust., Nit. ac.
Condylomata, fig warts — Calc. c., Cinnab., Euphras., Kali iod., Lyc., Med., Merc. c., Merc. s., Nat. s., Nit. ac., Phos. ac., Sab., Sep., Sil., Staph., Thuja.
Cracked, ragged, with furfuraceous areola — Lyc.
Flat, smooth, sore — Ruta.
Horny, broad — Rhus t.
Smooth, fleshy, on back of hands — Dulc
Itching, flat, broad — Thuja.
Oozing — Nit. ac.
Pedunculated — Caust., Lyc., Nit. ac., Sab., Staph., Thuja.
Location
Body, in
general — Nat. s., Sep.
Breast — Castor.
Face, hands — Calc. c., Caust., Carbo an., Dulc., Kali c.
Forehead — Castorea.
Genito-anal surface — Nit. ac., Thuja.
Hands — Anac., Bufo, Ferr. magnet., Kali m., Lach.,
Nat. c., Nat. m., Rhus t., Ruta.
Neck, arms, hands, soft, smooth — Ant. c.
Nose, finger tips, eye brows — Caust.
Prepuce — Cinnab., Phos. ac., Sab.
Small, all over body — Caust.
Smooth — Calc. c., Ruta.
Sycotic, syphilitic — Nit. ac.
Kent’s repertory
WARTS
horny : Ant-c., calc., caust., dulc., graph., nit-ac., ran-b., sep., sulph., thuj.
indented : Calc., euphr., lyc., nit-ac., ph-ac., rhus-t., sabin., sep., staph., thuj.
inflamed : Am-c., bell., bov., calc., caust., hep., lyc., nat-c., nit-ac., rhus-t., sars., sep., sil., staph., sulph., thuj.
isolated : Lyc., thuj.
itching : Euphr., kali-c., nit-ac., phos., psor., sep., thuj.
jagged : Caust., lyc., Nit-ac., ph-ac., rhus-t., sep., staph., Thuj.
large : Caust., Dulc., kali-c., nat-c., Nit-ac., ph-ac., rhus-t., sep., sil., Thuj.
mercury, after abuse of : Aur., nit-ac., staph.
moist : Caust., lyc., Nit-ac., ph-ac., psor., rhus-t., staph., Thuj.
old : Calc., caust., kali-c., nit-ac., rhus-t., sulph., thuj.
painful : Am-c., bov., calc., caust., hep., kali-c., kali-s., lach., lyc., nat-c., nat-m., nit-ac., petr., phos., rhus-t., ruta., sabin., sep., sil., sulph., thuj.
pedunculated : Caust., dulc., lyc., med., Nit-ac., ph-ac., rhus-t., sil., staph., thuj.
pulsating : Calc., kali-c., lyc., petr., sep., sil., sulph.
red : Calc., nat-s., thuj.
round : Calc.
sensitive to touch : Caust., cupr., hep., nat-c., nat-m., Staph., thuj.
small : Bar-c., berb., calc., caust., dulc., ferr-p., ferr., hep., lach., nit-ac., rhus-t., sars., sep., sulph., thuj.
smelling like old cheese : Calc., graph., hep., Thuj.
smooth : Ant-c., Dulc., ruta.
soft : Ant-c., calc., Nit-ac., sil., thuj.
stinging : Am-c., ant-c., bar-c., calc., caust., hep., lyc., Nit-ac., rhus-t., sep., sil., staph., sulph., Thuj.
stitching in : Bov., Hep., Nit-ac.
suppurating : Ars., bov., calc., caust., hep., nat-c., sil., thuj.
syphilitic : Aur-m-n., aur-m., aur., hep., merc., Nit-ac., staph., thuj.
tearing : Am-c.
ulcers, surrounded by a circle of : Ant-c., ars., calc., nat-c., phos.
withered : Ars., calc., camph., caps., cham., Chin., clem., cocc., croc., ferr-ar., ferr-p., ferr., hyos., iod., kali-c., lyc., merc., ph-ac., phos., rheum., rhod., sars., Sec., seneg., sil., spong., sulph., verat.
Boger synoptic key
Skin, fungus growth, excrescences, warts, figwarts, condylomata, polypi, proud flesh, hæmatodes, etc :
Ant-c., Ars., Bar-c., Calc-c., Carb-an., Caust., Clem., Dulc., Lach., Lyc., Merc., Nat-c., Nat-s., Nit-ac., Petr., Pho-ac., Pho., Rhus-t., Sabi., Sil., Stap., Sul., Thu.
Skin, fungus growth, bleeding :
Nit-ac., Pho.
Skin, fungus growth, fleshy :
Calc-c., Stap., Thu.
Skin, fungus growth, granular :
Calc-c., Nit-ac., Stap.
Skin, fungus growth, pedunculated :
Lyc., Nit-ac., Sabi., Thu.
Skin, fungus growth, ragged :
Nat-c., Pho-ac., Rhus-t., Thu.
Skin, fungus growth, spongy :
Calc-c., Lyc., Nit-ac., Stap., Thu.
Discussion & Conclusion
Homeopathy treats the person as a whole. Homeopathic treatment focuses on the patient as a person, as well as his pathological condition. The Homeopathic medicines for warts are selected after a full individualization and analysis of case but medicines according to particular location and character can also aid in selecting the appropriate medicine. The homeopathic remedies for warts given above indicate the therapeutic affinity as per location of the lesion.
Reference
1. Davidson S. Principles & Practice of Medicine. 22nd ed. Philadelphia: Elsevier; 2014.[u1]
2. Khanna N. IIIustrated Synopsis of Dermatology and Sexually transmitted diseases 4th edi.New Delhi Elsevier, 2011.
3.RADAR 10.Archibel Homoeopathic Software.Belgium.2009
Dr. Pramod kumar Singh1 , Dr. Dushyant Kumar 2 , Dr. Abhishek 2, Dr. Poonam Sharma2
- Professor and HOD of Homoeopathic pharmacy , Dr.M.P.K Homoeopathic Medical college Hospital and research centre Saipura ,Jaipur
- MD scholar , Department of Homoeopathic pharmacy , Dr.M.P.K Homoeopathic Medical college Hospital and research centre Saipura ,Jaipur
